Organization
JONATHAN D HYMAN DPM A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN D HYMAN D.P.M. (PODIATRY)
(713) 666-9934
Entity
Organization
Contact information
Practice address
5959 WEST LOOP S, SUITE 130, BELLAIRE, TX 77401-2421
(713) 666-9934
(713) 666-8659
Mailing address
5959 WEST LOOP S, SUITE 130, BELLAIRE, TX 77401-2421
(713) 666-9934
(713) 666-8659
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119889702
—
TX
01
—
480004754
MEDICARE RRB
TX
01
—
77096
TRICARE
TX
01
—
IDEC2526069
ACED
TX
01
—
T13988
BLUE CROSS BLUE SHIELD
TX
01
—
TX9999
MUTUAL
TX
Enumeration date
07/24/2007
Last updated
02/22/2012
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